Individual provider Active NPI

Christine Elizabeth Weikert, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • State College, PA
National Provider Identifier
1831173897
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC004314L Issued in PA
Practice address
1333 S Allen St
Suite 4
State College, PA 16801-5944
Phone
(814) 231-0451
Fax
(814) 231-1817
NPI assigned
Dec 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC004314L PA Primary

Addresses

Primary practice location

1333 S Allen St
Suite 4
State College, PA 16801-5944

Mailing address

1333 S Allen St
Suite 4
State College, PA 16801-5944
Phone (814) 231-0451

Other identifiers 9

IdentifierTypeStateIssuer
0641728OtherPAKEYSTONE H PLAN CENTRAL
0017462270005MedicaidPA
52041OtherPAGEISINGER PROV NO
01994501OtherPACAPITAL BLUE CROSS
WE641728OtherPAHIGHMARK
000000094377OtherPATHREE RIVERS PROV NO
130727OtherPAHEALTH AMERICA PROV NO
206690OtherPAUPMC PROV NO
480031519OtherPAMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041102000034 PA Practitioner - Podiatry 5193787646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC004314LPAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedics Center Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Active Orthotics & Prosthetics, LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1831173897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 S ALLEN ST",
            "address_2": "SUITE 4",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168015944",
            "telephone_number": "814-231-0451",
            "fax_number": "814-231-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 S ALLEN ST",
            "address_2": "SUITE 4",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168015944",
            "telephone_number": "814-231-0451",
            "fax_number": "814-231-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIKERT",
        "first_name": "CHRISTINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC004314L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE H PLAN CENTRAL",
            "identifier": "0641728",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017462270005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER PROV NO",
            "identifier": "52041",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "01994501",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "WE641728",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS PROV NO",
            "identifier": "000000094377",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA PROV NO",
            "identifier": "130727",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC PROV NO",
            "identifier": "206690",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480031519",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.